Urinary Incontinence For Wocn Boards

Front 1

standard plain radiograph of abdomen commonly used to detect retained stool that is not palpable on abd exam

Back 1

Abdominal flat plate

Front 2

abdominal pressure at which urinary leakage is observed during straining. In normal individuals, even maximum abdominal filling does not produce leakage

Back 2

abdominal leak point pressure

Front 3

use of Valsalva'a manuever to increase intravesical pressure and bladder emptying

Back 3

abdominal straining

Front 4

antegrade colonic enema--- surgical creation of continent catheterizable channel between abd wall and cecum. "One-way" stoma is used to perform colonic washouts to maintain continence

Back 4

ACE procedure

Front 5

incontinence of recent and abrupt onset; may reflect new onset of urinary leakage or sudden worsening of preexisting minor incontinence

Back 5

acute incontinence

Front 6

Mediating or mimicking the effects of sympathetic stimulation.

Back 6

adrenergic

Front 7

These drugs cause relaxation of the smooth muscle in the bladder neck and urethra- these drugs can cause or contribute to incontinece but can be used to improve bladder emptying in men with BPH.

Back 7

alpha-adrenergic antagonists

Front 8

These drugs increase urethral resistance by increasing tone in the smooth muscle of the proximal portion of the urethra and bladder neck.

Back 8

alpha-adrenergic agonists

Front 9

passageway between rectum and outside of body; surrounded by internal and external anal sphincters and lined with multiple sensory receptors.

Back 9

anal canal

Front 10

test used to assess innervation of the external anal sphincter. Done with electrodes placed into the EAS at several points and used to record the muscle response during voluntary anal sphincter contraction

Back 10

anal electromyography (EMG)

Front 11

surgical correction of acute sphincter disruption secondary to trauma

Back 11

anal sphincter repair

Front 12

pathologic narrowing of the anal canal or anus to a point interfering with fecal elimination;commonly seen after anorectal surgery as a result of scar formation.

Back 12

anal stenosis or stricture

Front 13

Test commonly used to evaluate the function of the sacral nerve roots. Perianal skin is lightly stroked while examiner observes for anal contraction (a positive result).

Back 13

anal wink

Front 14

volume of fluid that the bladder is capable of holding at the limit of its viscoelastic or accommodative properties- done while pt is sedated/anesthesized during cystoscopic exam.

Back 14

anatomic bladder capacity

Front 15

Angle at junction of rectum and anal canal created by the orientation and slinglike configuration of the puborectalis muscle.

Back 15

anorectal angle

Front 16

Study done to provide an objective measurement of anorectal sensation, pressures generated by the sphincter complex, and length of the anal canal. Evaluates for +/- rectoanal inhibitory reflex.

Back 16

Anorectal manometry

Front 17

General term for studies that provide a quantitative assessment of complex mechanisms involved in maintenance of continence.

Back 17

anorectal physiology testing

Front 18

Surgical procedure designed to correct urethral hypermobility; involves dissection of anterior vaginal wall from the overlying bladder base and urethra, followed by plication of the pubocervical fascia.

Back 18

anterior vaginal repair

Front 19

Drugs that block the effects of cholinergic neurotransmitters; may cause urinary incontinece and constipation but can be used to tx pts. with detrusor instabilty and urge incontince and for pts. with diarrhea r/t increased motility

Back 19

anticholinergic

Front 20

Agents such as anticholinergics and opiate derivatives that reduce intestinal motility.

Back 20

antidiarrheal medications

Front 21

Urodynamic data produced by inaccurate technique or physiologic events rather than pathologic condition.

Back 21

artifact

Front 22

3-component device that is surgically implanted and used to restore fecal continence for pt with intractable fecal incontinece.

Back 22

artificial bowel sphincter

Front 23

3-component system that is surgically implanted used to restore continence for the pt. with intrinsic sphincter deficiency (soft inflatable cuff around urethra or bladder neck, pressure regulating balloon and reservoir placed in abd cavity, and pump placed in scrotum or labia).

Back 23

artificial urinary sphincter

Front 24

Neuronal fibers unique to the distal portion of the colon that are probably involved in the coordination of reflex (colocolonic and colorectal) activity.

Back 24

ascending fibers

Front 25

Condition resulting from estrogen deficiency and characterized by thinning of urethral and vaginal epithelium, sclerosis of the periurethral tissues, and persistent or recurrent c/o urinary frequency, urgency, and dysuria.

Back 25

atrophic urethritis and vaginitis

Front 26

Surgical procedure designed to provide low-pressure reservoir for the bladder. The dome of the bladder is split, the bladder is opened in a clam type of configuration, and a segment is isolated and detubularized bowel is anastomosed to the bladder.

Back 26

Augmentation cystoplasty

Front 27

Surgical creation of a bladder wall diverticulum to increase bladder capacity and to interrupt detrusor contrctility; designed to provide a low-pressure urinary reservoir.

Back 27

autoaugmentation of bladder

Front 28

Syndrome characterized by sweating, headache, and hypertension, and caused by extreme stimulation of the autonomic nervous system.

Back 28

autonomic dysreflexia

Front 29

Damage to the autonomic nerves that innervate the bladder and gastrointestinal tract; associated with impaired detrusor contractility, intestinal hypomotility, and anorectal dysfunction.

Back 29

autonomic neuropathy

Front 30

Presence of bacteria in the urine; may be further classified as symptomatic or asymptomatic.

Back 30

bacteriuria

Front 31

Contrast study to identify anatomic abnormalities or luminal lesions; postevacuation film can be used to indirectly assess colonic motility.

Back 31

barium enema

Front 32

Any intervention in which the patient is taught to modify his/her usual behaviors to improve bladder control.

Back 32

behavioral therapy for bladder control

Front 33

Proliferation of cells within the prostate gland that produce glandular enlargement; commonly associated with weak urinary stream with varying degrees of hesitency, intermittency, urgency, frequency, nocturia, postvoid dribbling, or feeling of incomplete emptying.

Back 33

benign prostatic hypertrophy (BPH)

Front 34

Use of visual or auditory feedback to provide pt information regarding physiologic processes or functions, such as contraction or relaxation of pelvic and abdominal muscles.

Back 34

biofeedback

Front 35

Organ for storage and elimination of urine; composed of bladder base, which is fixed and nondistensible, and bladder body, which distends easily to fill with urine.

Back 35

bladder

Front 36

Record kept by patient (or caregivers) that includes some or all of the following: time and volume of normal voids, time and approx. amount of urinary leakage, type of activity assoc. with urine loss, number of pads used in 24 hour period, type and volume of fluid intake, and time/amount of urine obtained by self-cath.

Back 36

Bladder chart (voiding diary)

Front 37

Strategies employed by individual (patient or caregiver) for the management of urinary elimination.

Back 37

bladder management program

Front 38

Increased urethral resistence resulting in obstructed voiding; characterized by a poor or intermittent urinary stream and high detrusor pressures.

Back 38

bladder outlet obstruction

Front 39

Behavioral strategy used for pts. with urge incontinence. Pt. is taught urge inhibition strategies and is then placed on scheduled voiding program.

Back 39

bladder retaining

Front 40

Record kept by pt (or caregivers) that includes the frequency, volume, and consistency of both voluntary and involuntary stools and may also include data regarding food/fluid intake.

Back 40

bowel chart or diary

Front 41

Program to reestablish normal bowel function in pt. who is cognitively and neurologically intact. Focus is on teaching pt to respond promptly to urge to defecate and to normalize stool consistency.

Back 41

bowel training program

Front 42

Test used to evaluate the innervation of the striated muscles of the pelvic floor. The examiner gently squeezes the glans penis or the clitoris while observing for anal sphincter contraction (visible contraction is indicative of intact pathways).

Back 42

bulbocavernosus reflex

Front 43

Agents such as psyllium and carboxymethylcellulose that absorb fluid and thus help to normalized stool consistency.

Back 43

bulk laxatives

Front 44

Serum study to determine blood urea nitrogen levels. Elevated levels are indicative of renal compromise.

Back 44

BUN

Front 45

opportunistic yeast organism that readily invades damaged skin to produce a characteristic rash with areas of confluent erythema with pinpoint satellite lesions visible at the periphery.

Back 45

Candida albicans